| NPI | 1871280172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 129068) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 110720) |
| Enumeration Date | 2023-04-18 |
| Last Update Date | 2025-03-12 |